Medicare/Medicaid – Government Informationhttp://swemgovdocs.blogs.wm.edu
Links and annotations for national, state, and local government publicationsTue, 26 Sep 2017 12:02:53 +0000en-UShourly1https://wordpress.org/?v=4.5.3Preliminary Analysis of Legislation that would Replace Subsidies for Health Care with Block Grantshttp://swemgovdocs.blogs.wm.edu/2017/09/26/preliminary-analysis-legislation-replace-subsidies-health-care-block-grants/
Tue, 26 Sep 2017 12:02:53 +0000http://swemgovdocs.blogs.wm.edu/?p=61344https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/53126-health.pdf Finds that the latest Republican proposal to replace the Affordable Care Act would reduce the federal budget deficit by at least $133 billion but reduce the number of people with comprehensive health insurance by millions. Loss of insurance would result from reductions in spending for the block grants, reductions in spending for subsidies, and […]

Finds that the latest Republican proposal to replace the Affordable Care Act would reduce the federal budget deficit by at least $133 billion but reduce the number of people with comprehensive health insurance by millions. Loss of insurance would result from reductions in spending for the block grants, reductions in spending for subsidies, and the repeal of penalties for not having insurance. From the Congressional Budget Office

]]>Federal Subsidies for Health Insurance Coverage for People Under Age 65: 2017 to 2027http://swemgovdocs.blogs.wm.edu/2017/09/21/federal-subsidies-health-insurance-coverage-people-age-65-2017-2027/
Thu, 21 Sep 2017 18:15:37 +0000http://swemgovdocs.blogs.wm.edu/?p=61242https://www.cbo.gov/system/files/115th-congress-2017-2018/reports/53091-fshic.pdf The federal government subsidizes health insurance for most Americans through a variety of programs and tax provisions. In 2017 such subsidies total $705 billion. The study estimates the future costs of such subsidies including preferential tax treatment for employer-provided insurance, the cost of Medicaid coverage, and support for ACA marketplace coverage. From the Congressional […]

The federal government subsidizes health insurance for most Americans through a variety of programs and tax provisions. In 2017 such subsidies total $705 billion. The study estimates the future costs of such subsidies including preferential tax treatment for employer-provided insurance, the cost of Medicaid coverage, and support for ACA marketplace coverage. From the Congressional Budget Office

]]>Health Insurance Coverage in the United States: 2016http://swemgovdocs.blogs.wm.edu/2017/09/14/health-insurance-coverage-united-states-2016/
Thu, 14 Sep 2017 18:12:14 +0000http://swemgovdocs.blogs.wm.edu/?p=61200https://www.census.gov/content/dam/Census/library/publications/2017/demo/p60-260.pdf The uninsured rate decreased by 0.3% between 2015 and 2016. The percentage of people without health insurance for the entire year was 8.8% or 28 million. Also describes the percentage of people covered by private vs government health insurance. Also covers health insurance by age and race. From the Census Bureau

The uninsured rate decreased by 0.3% between 2015 and 2016. The percentage of people without health insurance for the entire year was 8.8% or 28 million. Also describes the percentage of people covered by private vs government health insurance. Also covers health insurance by age and race. From the Census Bureau

]]>Distribution of Lifetime Medicare Taxes and Spending by Sex and by Lifetime Household Earningshttp://swemgovdocs.blogs.wm.edu/2017/08/17/distribution-lifetime-medicare-taxes-spending-sex-lifetime-household-earnings/
Thu, 17 Aug 2017 16:37:25 +0000http://swemgovdocs.blogs.wm.edu/?p=60966https://www.cbo.gov/system/files/115th-congress-2017-2018/workingpaper/52985-workingpaper.pdf Examines the distribution between taxes paid to and benefits received from the Medicare program based on beneficiaries’ lifetime earnings and Medicare spending data. A working paper from the Congressional Budget Office

Examines the distribution between taxes paid to and benefits received from the Medicare program based on beneficiaries’ lifetime earnings and Medicare spending data. A working paper from the Congressional Budget Office

]]>2017 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Fundshttp://swemgovdocs.blogs.wm.edu/2017/07/27/2017-annual-report-boards-trustees-federal-hospital-insurance-federal-supplementary-medical-insurance-trust-funds/
Thu, 27 Jul 2017 17:27:55 +0000http://swemgovdocs.blogs.wm.edu/?p=60820https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ReportsTrustFunds/Downloads/TR2017.pdf Annual report on the actuarial status and financial operations of the Medicare Parts A, B, and D programs. Estimated depletion date for the Hospital Insurance Fund (Part A) under current law is 2029. The fund which covers Parts B and D is expected to be adequately funded over the next 10 years. From the […]

Annual report on the actuarial status and financial operations of the Medicare Parts A, B, and D programs. Estimated depletion date for the Hospital Insurance Fund (Part A) under current law is 2029. The fund which covers Parts B and D is expected to be adequately funded over the next 10 years. From the Social Security Administration

]]>Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014http://swemgovdocs.blogs.wm.edu/2017/07/27/medicaid-expansion-behavioral-health-treatment-use-selected-states-2014/
Thu, 27 Jul 2017 16:08:45 +0000http://swemgovdocs.blogs.wm.edu/?p=60812http://www.gao.gov/products/GAO-17-529 Since behavioral health conditions disproportionately affect low-income people, this study looks at how Medicaid expansion in four states affected treatment for those enrolled under the Affordable Care Act. From the Government Accountability Office

Since behavioral health conditions disproportionately affect low-income people, this study looks at how Medicaid expansion in four states affected treatment for those enrolled under the Affordable Care Act. From the Government Accountability Office

]]>H.R. 1628: Obamacare Repeal Reconciliation Act of 2017http://swemgovdocs.blogs.wm.edu/2017/07/20/h-r-1628-obamacare-repeal-reconciliation-act-2017/
Thu, 20 Jul 2017 19:15:36 +0000http://swemgovdocs.blogs.wm.edu/?p=60804https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52939-hr1628amendment.pdf Estimates that passage of this proposed act would decrease the federal deficit by $473 billion over the 2017-2026 period, increase the number of people without health insurance by 17 million in 2018, and, due to the loss of Medicaid expansion and federal subsidies, increase the number of people without health insurance to 32 million […]

Estimates that passage of this proposed act would decrease the federal deficit by $473 billion over the 2017-2026 period, increase the number of people without health insurance by 17 million in 2018, and, due to the loss of Medicaid expansion and federal subsidies, increase the number of people without health insurance to 32 million by 2026. From the Congressional Budget Office

]]>Earnings and Employment Data for Workers Covered Under Social Security and Medicare, by State and County, 2014http://swemgovdocs.blogs.wm.edu/2017/07/13/earnings-employment-data-workers-covered-social-security-medicare-state-county-2014/
Thu, 13 Jul 2017 18:22:57 +0000http://swemgovdocs.blogs.wm.edu/?p=60702https://www.ssa.gov/policy/docs/statcomps/eedata_sc/2014/index.html Annual report which presents employment and earnings data by sex and age for people in employment covered by Social Security and Medicare. From the Social Security Administration

]]>Budget of the U. S. Government: A New Foundation for American Greatness: Fiscal Year 2018http://swemgovdocs.blogs.wm.edu/2017/05/23/budget-u-s-government-new-foundation-american-greatness-fiscal-year-2018/
Tue, 23 May 2017 17:08:21 +0000http://swemgovdocs.blogs.wm.edu/?p=60212https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/budget/fy2018/budget.pdf Basic budget document of the Trump administration with summary tables. Proposes steep cuts to Medicaid and other social services programs. From the White House and the Office of Management and Budget

]]>Health Care: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programshttp://swemgovdocs.blogs.wm.edu/2017/04/20/health-care-telehealth-remote-patient-monitoring-use-medicare-selected-federal-programs/
Thu, 20 Apr 2017 15:50:44 +0000http://swemgovdocs.blogs.wm.edu/?p=59900http://www.gao.gov/assets/690/684115.pdf Studies alternatives to health care provided in person at a physician’s office for those distant from medical providers. Looks at factors that affect the use of remote medical services through Medicare and emerging payment/delivery models. From the Government Accountability Office

Studies alternatives to health care provided in person at a physician’s office for those distant from medical providers. Looks at factors that affect the use of remote medical services through Medicare and emerging payment/delivery models. From the Government Accountability Office

]]>An Analysis of Private-Sector Prices for Hospital Admissionshttp://swemgovdocs.blogs.wm.edu/2017/04/13/analysis-private-sector-prices-hospital-admissions/
Thu, 13 Apr 2017 17:54:34 +0000http://swemgovdocs.blogs.wm.edu/?p=59838https://www.cbo.gov/system/files/115th-congress-2017-2018/workingpaper/52567-hospitalprices.pdf Compares hospital insurance rates of commercial plans with those of Medicare fee-for-service plans and finds that Medicare rates were on average 47% lower than commercial rates with variations across metro areas and across hospitals within metro areas. From the Congressional Budget Office

Compares hospital insurance rates of commercial plans with those of Medicare fee-for-service plans and finds that Medicare rates were on average 47% lower than commercial rates with variations across metro areas and across hospitals within metro areas. From the Congressional Budget Office

]]>The 2017 Long-Term Budget Outlookhttp://swemgovdocs.blogs.wm.edu/2017/03/30/2017-long-term-budget-outlook/
Thu, 30 Mar 2017 19:09:05 +0000http://swemgovdocs.blogs.wm.edu/?p=59800https://www.cbo.gov/system/files/115th-congress-2017-2018/reports/52480-ltbo.pdf Finds that U.S. federal debt held by the public is now at 77% of GDP, the highest level since shortly after World War II. If current laws remain unchanged, the debt will rise sharply over the next 30 years to 150% of GDP. The report also discusses the demographic and economic trends that underlie […]

Finds that U.S. federal debt held by the public is now at 77% of GDP, the highest level since shortly after World War II. If current laws remain unchanged, the debt will rise sharply over the next 30 years to 150% of GDP. The report also discusses the demographic and economic trends that underlie the long-term projections. From the Congressional Budget Office

]]>H.R. 1628, The American Health Care Act, Incorporating Manager’s Amendments 4, 5, 24, and 25http://swemgovdocs.blogs.wm.edu/2017/03/24/h-r-1628-american-health-care-act-incorporating-managers-amendments-4-5-24-25/
Fri, 24 Mar 2017 14:52:07 +0000http://swemgovdocs.blogs.wm.edu/?p=59730https://www.cbo.gov/publication/52516?utm_source=feedblitz&utm_medium=FeedBlitzEmail&utm_content=812526&utm_campaign=0 Offers an estimate of the effect on direct spending and on health insurance coverage of the revised bill designed to replace the Affordable Care Act. Finds that the proposed revisions would result in less savings and 24 million more uninsured relative to the number under current law. From the Congressional Budget Office

Offers an estimate of the effect on direct spending and on health insurance coverage of the revised bill designed to replace the Affordable Care Act. Finds that the proposed revisions would result in less savings and 24 million more uninsured relative to the number under current law. From the Congressional Budget Office

]]>American Health Care Acthttp://swemgovdocs.blogs.wm.edu/2017/03/13/american-health-care-act/
Mon, 13 Mar 2017 21:14:35 +0000http://swemgovdocs.blogs.wm.edu/?p=59582https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/costestimate/americanhealthcareact_0.pdf Estimates that the Republican alternative to the Affordable Care Act will reduce federal deficits by $337 billion over the 2017-2026 period and increase the number of uninsured people by 14 million by 2018. By 2026 the number of uninsured is expected to rise to 24 million. From the Congressional Budget Office

Estimates that the Republican alternative to the Affordable Care Act will reduce federal deficits by $337 billion over the 2017-2026 period and increase the number of uninsured people by 14 million by 2018. By 2026 the number of uninsured is expected to rise to 24 million. From the Congressional Budget Office

]]>Out-of-Pocket Health Care Expenses for Medical Services, by Insurance Coverage, 2000-2014http://swemgovdocs.blogs.wm.edu/2017/03/09/pocket-health-care-expenses-medical-services-insurance-coverage-2000-2014-2/
Thu, 09 Mar 2017 19:43:47 +0000http://swemgovdocs.blogs.wm.edu/?p=59556https://meps.ahrq.gov/mepsweb/data_files/publications/st500/stat500.pdf Examines the percentage of persons with an out-of-pocket payment, the size of the payment as a percentage of a person’s expenses, and the average amount paid out-of-pocket per person. Also shows how these numbers vary by age of person and type of insurance coverage. From the Agency for Healthcare Research and Quality

Examines the percentage of persons with an out-of-pocket payment, the size of the payment as a percentage of a person’s expenses, and the average amount paid out-of-pocket per person. Also shows how these numbers vary by age of person and type of insurance coverage. From the Agency for Healthcare Research and Quality

]]>Virginia Compared to the Other States: 2017 Editionhttp://swemgovdocs.blogs.wm.edu/2017/03/02/virginia-compared-states-2017-edition/
Thu, 02 Mar 2017 20:16:52 +0000http://swemgovdocs.blogs.wm.edu/?p=59472http://jlarc.virginia.gov/pdfs/reports/Rpt492.pdf Shows how Virginia compares to other states in spending and taxes, education, health, and transportation. From the Joint Legislative Audit and Review Commission

]]>Out-of-Pocket Health Care Expenses for Medical Services, by Insurance Coverage, 2000-2014http://swemgovdocs.blogs.wm.edu/2017/03/02/pocket-health-care-expenses-medical-services-insurance-coverage-2000-2014/
Thu, 02 Mar 2017 20:12:56 +0000http://swemgovdocs.blogs.wm.edu/?p=59460https://meps.ahrq.gov/mepsweb/data_files/publications/st500/stat500.pdf Examines spending on health insurance premiums including the percentage of persons with out-of-pocket payments among those with health expenses, the out-of-pocket payment as a percentage of a person’s expenses, and the average amount paid out of pocket per person. Also shows results for the elderly and non-elderly. From the Agency for Healthcare Research and […]

Examines spending on health insurance premiums including the percentage of persons with out-of-pocket payments among those with health expenses, the out-of-pocket payment as a percentage of a person’s expenses, and the average amount paid out of pocket per person. Also shows results for the elderly and non-elderly. From the Agency for Healthcare Research and Quality

]]>Federal Spending for Means-Tested Programs, 2007 to 2027http://swemgovdocs.blogs.wm.edu/2017/03/02/federal-spending-means-tested-programs-2007-2027/
Thu, 02 Mar 2017 17:29:27 +0000http://swemgovdocs.blogs.wm.edu/?p=59404https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/reports/52405-means-tested-programs.pdf Estimates that, if current laws remain generally unchanged, federal spending for cash-assistance programs for people of low income would grow at an average annual rate of 5.5% over the coming decade. The estimate covers such programs as Medicaid, the Affordable Care Act, the Supplemental Assistance Nutrition Program (food stamps), student Pell grants and others. […]

Estimates that, if current laws remain generally unchanged, federal spending for cash-assistance programs for people of low income would grow at an average annual rate of 5.5% over the coming decade. The estimate covers such programs as Medicaid, the Affordable Care Act, the Supplemental Assistance Nutrition Program (food stamps), student Pell grants and others. From the Congressional Budget Office

]]>Trends in Enrollment, Offers, Eligibility and Take-Up for Employer-Sponsored Insurance: Private Sector, by State Medicaid Expansion Status, 2008-2015http://swemgovdocs.blogs.wm.edu/2017/02/23/trends-enrollment-offers-eligibility-take-employer-sponsored-insurance-private-sector-state-medicaid-expansion-status-2008-2015/
Thu, 23 Feb 2017 18:33:25 +0000http://swemgovdocs.blogs.wm.edu/?p=59346https://meps.ahrq.gov/mepsweb/data_files/publications/st499/stat499.pdf Compares trends in Employer-Sponsored Insurance across states that expanded Medicaid and states that did not. Overall the percentage of private sector employees enrolled in an employer-sponsored health insurance plan declined from 2008 to 2015. From the Agency for Healthcare Research and Quality

Compares trends in Employer-Sponsored Insurance across states that expanded Medicaid and states that did not. Overall the percentage of private sector employees enrolled in an employer-sponsored health insurance plan declined from 2008 to 2015. From the Agency for Healthcare Research and Quality

]]>Long-Term Trends in Health Insurance Coveragehttp://swemgovdocs.blogs.wm.edu/2017/02/16/long-term-trends-health-insurance-coverage/
Thu, 16 Feb 2017 20:08:56 +0000http://swemgovdocs.blogs.wm.edu/?p=59262https://www.cdc.gov/nchs/data/nhis/earlyrelease/trendshealthinsurance1968_2015.pdf Consists of two statistical tables showing health insurance coverage from 1968 to 2015. Table 1 shows percentage of people under 65 with health insurance coverage by type of coverage and the uninsured. Table 2 shows number of people with and without health insurance coverage and the type of coverage. From the National Center for […]

Consists of two statistical tables showing health insurance coverage from 1968 to 2015. Table 1 shows percentage of people under 65 with health insurance coverage by type of coverage and the uninsured. Table 2 shows number of people with and without health insurance coverage and the type of coverage. From the National Center for Health Statistics

]]>Health Insurance Coverage: Early Release of Estimates from the National Health Interview Survey, January-June 2016http://swemgovdocs.blogs.wm.edu/2016/11/10/health-insurance-coverage-early-release-of-estimates-from-the-national-health-interview-survey-january-june-2016/
Thu, 10 Nov 2016 18:45:27 +0000http://swemgovdocs.blogs.wm.edu/?p=58042http://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201611.pdf Provides estimates of those covered by health insurance for selected states. In the first 6 months of 2016, 28 million persons of all ages were uninsured or 8.9% of the population. This was 20 million fewer than in 2010, prior to the Affordable Care Act, but only 0.2 million fewer persons than in 2015. […]

Provides estimates of those covered by health insurance for selected states. In the first 6 months of 2016, 28 million persons of all ages were uninsured or 8.9% of the population. This was 20 million fewer than in 2010, prior to the Affordable Care Act, but only 0.2 million fewer persons than in 2015. From the National Center for Health Statistics

]]>Out-of-Pocket Health Care Expenses in the U.S. Civilian Noninstitutionalized Population by Age and Insurance Coverage, 2014http://swemgovdocs.blogs.wm.edu/2016/10/20/out-of-pocket-health-care-expenses-in-the-u-s-civilian-noninstitutionalized-population-by-age-and-insurance-coverage-2014/
Thu, 20 Oct 2016 19:32:48 +0000http://swemgovdocs.blogs.wm.edu/?p=57766https://meps.ahrq.gov/data_files/publications/st495/stat495.pdf Shows estimates according to age, family income, and insurance coverage. Finds that an average of $688 was paid out of pocket for health care among people with some health care expenses. From the Agency for Healthcare Research and Quality

Shows estimates according to age, family income, and insurance coverage. Finds that an average of $688 was paid out of pocket for health care among people with some health care expenses. From the Agency for Healthcare Research and Quality

]]>Medicare Program: Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-focused Payment Modelshttp://swemgovdocs.blogs.wm.edu/2016/10/20/medicare-program-merit-based-incentive-payment-system-mips-and-alternative-payment-model-apm-incentive-under-the-physician-fee-schedule-and-criteria-for-physician-focused-payment-models/
Thu, 20 Oct 2016 19:14:11 +0000http://swemgovdocs.blogs.wm.edu/?p=57734https://qpp.cms.gov/docs/CMS-5517-FC.pdf Final regulation (2000+ pages) for the new payment system for Medicare physicians that advances the administration’s emphasis on payment for quality rather than quantity of care. Offers two paths in transitioning providers away from a fee-for-service system From the Center for Medicare and Medicaid Services of the Health and Human Services Department

Final regulation (2000+ pages) for the new payment system for Medicare physicians that advances the administration’s emphasis on payment for quality rather than quantity of care. Offers two paths in transitioning providers away from a fee-for-service system From the Center for Medicare and Medicaid Services of the Health and Human Services Department

]]>Medicare: Insolvency Projectionshttp://swemgovdocs.blogs.wm.edu/2016/10/13/medicare-insolvency-projections/
Thu, 13 Oct 2016 17:17:31 +0000http://swemgovdocs.blogs.wm.edu/?p=57644http://www.fas.org/sgp/crs/misc/RS20946.pdf Discusses the different parts of the Medicare program and how they are financed, the history of and current insolvency projections, and what would happen if the fund became insolvent. From the Congressional Research Service, posted by the Federation of American Scientists

Discusses the different parts of the Medicare program and how they are financed, the history of and current insolvency projections, and what would happen if the fund became insolvent. From the Congressional Research Service, posted by the Federation of American Scientists

]]>Insurance Coverage of Ambulatory Care Visits in the Last Six Months of 2011-13 and 2014, by Medicaid Expansion Statushttp://swemgovdocs.blogs.wm.edu/2016/10/06/insurance-coverage-of-ambulatory-care-visits-in-the-last-six-months-of-2011-13-and-2014-by-medicaid-expansion-status/
Thu, 06 Oct 2016 17:35:03 +0000http://swemgovdocs.blogs.wm.edu/?p=57558https://meps.ahrq.gov/mepsweb/data_files/publications/st494/stat494.pdf New pathways to insurance coverage became available in 2014 including government subsidized private coverage through newly-created marketplaces and the potential for states to expand Medicaid eligibility. This report compares the insurance coverage of ambulatory care visits before and after these changes. From the Agency for Healthcare Research and Quality

New pathways to insurance coverage became available in 2014 including government subsidized private coverage through newly-created marketplaces and the potential for states to expand Medicaid eligibility. This report compares the insurance coverage of ambulatory care visits before and after these changes. From the Agency for Healthcare Research and Quality

]]>Generic Drugs Under Medicare: Part D Generic Drug Prices Declined Overall, but Some Had Extraordinary Price Increaseshttp://swemgovdocs.blogs.wm.edu/2016/09/16/generic-drugs-under-medicare-part-d-generic-drug-prices-declined-overall-but-some-had-extraordinary-price-increases/
Fri, 16 Sep 2016 16:30:40 +0000http://swemgovdocs.blogs.wm.edu/?p=57328http://www.gao.gov/assets/680/679022.pdf Describes how generic drug prices under Medicare have changed over time, the extent to which generic drugs experienced extraordinary price increases and how that affected benefit design, and the factors identified as contributors to price changes. From the Government Accountability Office

Describes how generic drug prices under Medicare have changed over time, the extent to which generic drugs experienced extraordinary price increases and how that affected benefit design, and the factors identified as contributors to price changes. From the Government Accountability Office

]]>Earnings and Employment Data for Workers Covered under Social Security and Medicare, by State and County, 2013http://swemgovdocs.blogs.wm.edu/2016/09/15/earnings-and-employment-data-for-workers-covered-under-social-security-and-medicare-by-state-and-county-2013/
Thu, 15 Sep 2016 19:04:32 +0000http://swemgovdocs.blogs.wm.edu/?p=57308https://www.ssa.gov/policy/docs/statcomps/eedata_sc/2013/eedata_sc13.pdf Shows by sex and age the number of employees and self-employed persons, the amount of their taxable earnings, and the amount they paid in Social Security and Medicare contributions. From the Social Security Administration

Shows by sex and age the number of employees and self-employed persons, the amount of their taxable earnings, and the amount they paid in Social Security and Medicare contributions. From the Social Security Administration

]]>Projecting Hospitals’ Profit Margins Under Several Illustrative Scenarioshttp://swemgovdocs.blogs.wm.edu/2016/09/09/projecting-hospitals-profit-margins-under-several-illustrative-scenarios/
Fri, 09 Sep 2016 14:03:56 +0000http://swemgovdocs.blogs.wm.edu/?p=57244https://www.cbo.gov/sites/default/files/114th-congress-2015-2016/workingpaper/51919-Hospital-Margins_WP.pdf Examines the effects of changes to hospital finances by the Affordable Care Act, which reduced Medicare payments but also expanded insurance coverage to reduce the cost of uncompensated care. This paper calculates the profit margins of hospitals and the share of hospitals that might lose money by 2025 under several scenarios. From the Congressional […]

Examines the effects of changes to hospital finances by the Affordable Care Act, which reduced Medicare payments but also expanded insurance coverage to reduce the cost of uncompensated care. This paper calculates the profit margins of hospitals and the share of hospitals that might lose money by 2025 under several scenarios. From the Congressional Budget Office